HMB Study

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Research Study

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lh_source

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I have a history of heavy menstrual bleeding.* This field is required.

True

False

4

I am currently on hormone therapy.* This field is required.Example: birth control pills, patch, injection, hormonal IUD, etc. Note: this does not include the Copper IUD.

True

False

5

I am between 18 and 45 years of age.* This field is required.

True

False

6

I have been pregnant within the past 3 months.* This field is required.

True

False

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I am currently lactating.* This field is required.

True

False

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I have a history of chronic tobacco use, ingested nicotine via smoking, vaping, smokeless tobacco, or nicotine patches in the past 3 months.* This field is required.

True

False

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I have a pacemaker, cochlear implant, or implanted neurostimulation system.* This field is required.

True

False

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I have reliable access to an internet-enabled device.* This field is required.

True

False

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Name* This field is required.

First Name

Last Name

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Email* This field is required.

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Phone Number

Please enter a valid phone number.

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By submitting this form:

You confirm your previous responses are true to the best of your knowledge.
You consent to being contacted via email by the clinical study team to be evaluated for the clinical trial, if eligible.